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Tuesday, February 26, 2019

Accommodation: 4 different missionary homes for 1-2 nights, 4 different hotels for a night each in between, yes that's a lot of movement and transition, apologies for what we probably left behind. Mobile office work in between meetings below . .

Adorable Serge children: a 15, sampling below skewed towards the youngest. Let's be real, these kids are a big part of our hearts and prayer life, they did not choose to be ten thousand miles from grandparents, to be touched and poked and stared at, to bond their hearts to homes that could evaporate into inaccessibility at the whim of politics, to forgo swimming lessons and summer camps and ice cream cones and libraries and a lot of what is considered normal American childhood. Oh, some of them will need teachers soon . . . contact us!

Heart-to-heart conversations: daily, sometimes hourly, the core of what draws us on trips like this. What a privilege to listen to the stories, to pray, to sometimes give a reality check, to sometimes just give a testimony of empathy. Yes, life is hard. Yes, God sees. From the struggles of kids to the discouragements of ministry to the bewilderments of language and culture and laws, we try to hear and process and lift up these saints.

Hospitals: 2 this trip, Kijabe and Litein. We purposed to thank the administration for their welcoming partnerships, their grace-filled help for our people. And we tried to work on clarity, job expectations, MOU's, future planning, ideas, vision.

New ministries: 1 Serge Apprenticeship with 5 Apprentices started in Nairobi in January. These young adults spend a day a week in a structured study of Scripture and discipleship, are mentored in cross-cultural relationship, study a new language, and get their hands and hearts right into the fray. We also have 5 SA's/interns in Bundi doing a parallel program. It's a great way to test the waters and grow in grace.

Languages: 5, though we only attempted 3 . . and continually confused them.

Amazing coffee stops: not as many as one might wish . . . but we did squeeze in some Cafe Javas (Uganda) and Java House (Kenya) with more mobile office time . .

Photography gigs: 1 night, Banquet at RVA, the purported instigator of this entire trip. Our Serger teens at RVA happened to be on the committee responsible for photography for their big Junior-Senior formal night, and way back before we heard the call to fill in the gap in Uganda we agreed to help them as photographers which would have been a quick jaunt from Naivasha. So glad we could still come, because everything else in this trip was equally compelling and valuable . . and the BQ night was a treat to witness. Beauty and the Beast themed dinner theatre for a couple hundred people DIY . . no problem. Note Michael Masso's fountain in the background.

Emotional reunions with former pets: 2, though that's a bit of a stretch, we only kept Pili for others for a short time. But Chardonnay nearly made me cry. You can't really go home again, we know it, everything changes. At least the dogs remain faithful.

Regrets: TNTC, which is medical short-hand for a lot ("too-numerous-to-count"). Honestly, after 25 years, we have a lot of cross cultural relationships that are longer lasting than the teams we supervise, so it is a sorrow to breeze through a place we used to live and only connect with a few people briefly. It makes them feel undervalued and makes us feel the gap. Should we have tried harder to set up a party, a meal, an open house, a meeting point? Probably. Can we be thankful for the glimpses of continuity we DID get? Yes. Perhaps the highlight of the week was Tanya, daughter of a Kenyan paediatrician friend, running out to jump into my arms for a hug when I knocked on their door, and then the next day just stopping by to chat with me after school, all on her own. I felt loved. Below, Bob and Lilian who welcomed me to Kijabe over 8 years ago and have remained colleagues and friends.

Miles to go before we sleep: approximately 400 km (miles in poetry, km in reality). We drove Bundibugyo to Fort Portal to Kampala to Entebbe, flew to Nairobi, drove around Nairobi then to Kijabe, then to Litein, then back to Kijabe back to Nairobi. Flew back to Entebbe for our car this a.m and are now headed west back to Bundibugyo.

Along the road, your path may wander . . but through it all, a heart held humble, levels and lights the way. Thanks Dan Fogelberg for the life soundtrack.

Monday, February 18, 2019

One month back in the heavy lush greenery of Uganda, and this anthem which we sang so often frequently runs through my head.

We love this land. The most formative years of our family life were lived in this land. We risked our lives for this land. We have deep roots in the people we left behind here. So it is hard to see not only the spectacular potential but also the heartache. I think in the last 8 years in Kenya, it was easy to feel like it was pretty similar. Sure, a decade down the development highway, but basically comparable. Then I found myself explaining the last month to a Kenyan colleague on the phone yesterday and . . .well, there are no interns or medical officers of any kind on the wards, actually most days nurses are alone. There are few drugs. Marc is working on oxygen tanks because there is rarely enough power to run an oxygen concentrator, and there won't be enough for incubators. There are not really hospital records other than plain lined paper books. There are no vital signs taken. There is no documentation most of the time of medications given. The health center 4 where we worked most of our time has persevered with good maternity services thanks to the faithful nurses we invested in . . but the rest of the care has fallen from "one of the best in the country" to a level of dingy sad mediocrity as the supervision fell to a doctor who seems mostly interested in procedures he can charge extra for. Private clinics have sprung up like weeds and the medicine meant for the poor is rumored to be divided amongst them. Patients shrugged off their lack of an injection or lab test as understandable since they could not afford to bribe action. The inertia is palpable. We have also been told so many stories of deception, of conflicts over money or land, that our heads are spinning about who to believe or how to function without believing anyone too fully. The team sank thousands of dollars into a new transformer to solve electricity problems that has become a year-long saga of one excuse after another for failed results.

Then the bright spots shine through, our friend the medical superintendent with integrity and passion and a sense of responsibility that must be giving him ulcers, carrying on in Dr. Jonah's footsteps with wisdom and sacrifice. The young men who tell us that even though we can't always be around, they are our "seeds" and want to carry on what we did. The student we interviewed who said she came to CSB feeling hopeless and sad after losing her parents and being left with her grandmother, but then chapel after chapel, service after service, she kept hearing that God saw her, loved her, valued her, and she started to believe it. So much so that she has excelled her way through with a vision to counsel others. A fair-trade cocoa business making a chocolate bar sourced from Bundibugyo. Girls playing the drums in church.

O Uganda, we laid our future in your hands in 1993, and we still stand with you longing for better.

Tomorrow we will fly back to Kenya for a week. The Lubwisi and Swahili are waging a war in my head and on my tongue already, so I'm bracing for a setback. We look forward to a 20-degrees-cooler elevation and to not feeling quite so foreign. A long time ago we became sojourners, strangers and pilgrims, people of divided loyalties. Now I'm realizing that alien heartache subdivides and fractures even further, not just North America vs. Africa, but each home we have loved, and even each team we pray for and support intermittently.

Here we go.

First stop was Fort Portal, ran into Pat immediately, headed to get coffee at Andrew's Gardens and of course a former CSB teacher passed by to chat. The beauty of Uganda is that we find people we know so easily.

Our Fort Portal team, Jenna and Pat, discipling young women and creating beautiful handmade fabric-based items to give them an income and hope for supporting their families.

Isaiah and Ivan are two Kule Leadership Students, medicine and nursing, with huge hearts for God and others, and great skills in their final stages of training. They met us for dinner as we arrived in Kampala on our way to Kenya.

This was our favorite restaurant, back in the day, Indian food . . . and of course one of the waiters remembered us.

Even at the mall in Kampala, the guy doing the security check says "Dr. Scott??!!?" Turns out he was a church leader from Bundibugyo back in the day, and asked about our kids by name, so of course we had to show him their pictures . . .

Friday, February 15, 2019

Those phrases are from Genesis 1 and nowhere more apparent than the tropical rainforest that is Bundibugyo. When I was growing up in the 70;s, terrariums were popular, and I remember making mine in a glass jar, a mini-ecosystem with moisture and green mosses and transplants from the woods. Now with live in one. Stifling humidity gathers in a haze for days into a pounding downpour, grasses taller than our heads, vines thicker than arms, splashes of color in wildly thorny bougainvillea, ares of cocoa trees. Whirring insects and trilling birds, swooping bats, bleating goats, and all manner of lizards from geckos to massive blue-headed reptiles, tiny ants in the shower and huge biting ants in the yard. Walls and screens are a porous line between indoor and outdoor, easily traversed by all manner of life. Likewise skin, as insects feed and burrow. Any low point of ground becomes a soup of more life. What would be a puddle in in most places is a cacophonous croaking amphibian habitat here.

And human life in all its messy glory abounds as well, giggling toddlers and self-assured packs of young boys, teens in school uniforms and mothers with basins on their heads, farmers carrying machetes and young women lingering behind roughly made tables piled with tomatoes and matoke and cabbages for sale.

Eden literally means paradise, and Uganda has as good a claim as any to being the steaming fertile incubator of life.

The median age in Africa is 18, compared to 37 in the USA. In Uganda that is even lower, 15 years, the second youngest country in the world (that means HALF the population is younger than 15 years old . . and we have seen that population more than double in our 25 years on the ground). This is a young continent. I routinely meet women who have 8, 10, more children; plus families care for orphaned nieces and nephews, or grandchildren, or neighbors. Progeny are the most precious goal of life here. All the world over, when survival improves, child spacing and planning for a family's education and future follows suit, and things even out a bit But right now, this generation is booming.

If you are sitting in one of the red/orange countries above, you might think of priorities differently than if you are sitting in a green one. WE NEED PEOPLE COMMITTED TO THE YOUTH. Teachers, youth pastors, coaches. Health care workers. More teachers. School administrators. Physical therapists, occupational therapists, counselors. This generation holds potential, and if people of God, people with kindness and maturity and selflessness and skill do not pay attention to them, unscrupulous people will. The green countries are also recruitment grounds for rebel movements. My former neighbor became a rebel soldier as a youth, trained in Khartoum, took advantage of an amnesty to return to Uganda then became a gun dealer selling to gangs of thieves, and is now in jail. His brother, instead, went to CSB and is now an accountant doing solid honest work. Both were influenced by adults who took interest in their lives, one to exploit and one to empower. Another neighbor girl who grew up with our daughter has now been recruited by one of over 140 firms operating in Uganda to export workers to the Middle East, to countries with abundant oil revenue who want cheap labor in their homes. It's a fine line between jobs and human trafficking. We are torn between being worried for her safety and empathizing with her spirit of courage and adventure.

This is a map where Africa shines. Green is usually the "good" on maps, and red is usually "danger". Will God's people the world over see this youthful abundance as blessing and opportunity? As strength? As a call for sacrificial investment?

We have a dozen important things that we could use help with here in the valley of biological exuberance. Contact us here to get some ideas!

Friday wrap up: A few photos of the week . . .

We were invited for lunch yesterday to celebrate with old friends Bamparana and Donatina. Days are full with work, correspondence, calls, mentoring, budgets, meetings . . and then moving about in the community or receiving visitors as we renew friendships.

A rare moment of work intersection, with Dr. Marc and the nutrititon team of Bahati, Jessie, and Alisha, on the Paeds ward.

One of our jobs this week: raising money to replace ALL the wooden dorm bunks with metal beds, for fire safety and improved hygiene. Our supporters already replaced half the beds before school started, and we have had funds come in this week for 20 of the remaining 75 beds. Donate here if you want to help us! (Type in any amount but it's $100/double bunk, and type "beds" in the dedication)

One of our Kule Leadership Scholars, Dr. Kisembo Peter, came with his mother and brother to express thanks for his graduation from medical school (complete with a live rooster and bags of rice!). He's now an intern. His father died in our Bundibugyo Ebola epidemic 11 years ago.

We had a 3-day visit from the LaRochelle family as they returned to DRC. Praying for their wisdom and safety as they continue their work, even as the Ebola epidemic just over our border percolates on.

Mary teaching mothers and children about nutrition at Nyahuka Health Center.

This baby's mother died, but after a week on our inpatient nutrition service the grandmother is re-lactating!

A young family very dear to us, Ndyezika was in the inaugural CSB class and later married Juliet, who taught there for many years.

Scott and CSB staff on an hour-long radio talk show, complete with call-ins and questions! They were promoting the school to boost enrollment.

Sorting the haphazard stack of files on the Paeds ward and weighing every patient . . the ward gets more full every time I go.

A quick visit to our friend Melen's Alpha Kindergarten, some of the 200 tiny people in those classrooms spilling out.

Wednesday, February 06, 2019

Justice, like many intangible words, sounds glorious but may be entirely something else in real life. Think of faith--who doesn't want to walk by faith, until you actually HAVE to walk by faith and realize that it is an experience of murky uncertainty with little support. Likewise, justice. It is something we want for ourselves, when we think it means we win, and people who are not seeing things our way lose. That, it seems, is exactly how the ancient Israelites viewed God's work. They were feeling the stress of large movements of armies through their crossroads and expecting God to destroy their enemies and restore their fortunes, to punish outsiders while pouring wealth and power onto their kingdom.

Enter Amos, a no-qualifications nobody from over the southern border, who had the audacity to speak for God. Let justice roll down like a river, and righteousness like an ever-flowing stream. Sounds good, until you read on. The day of the Lord is darkness, not light, he said. God is all about justice and you who oppress the poor, who crush the needy, are about to get a big surprise. The river of justice is not a gentle peaceful brook where one dips toes on a grassy bank. The river of justice is more like rafting the Nile: forceful, turbulent, destructive, loud, irresistible, dangerous.

The nine Serge women on the Bundi team just started studying the minor prophets, and we're already neck-deep in the parallels between many centuries BC and 2019. Because there is nothing like living in a place where justice is so severely lacking to make the Old Testament sound reasonable, even hopeful.

Meaning, living on earth.

A few local examples from this week alone.

Riding in a matatu with CSB staff back from our retreat in Kasese, the driver tops up a tiny bit of fuel at a station in town as we start, as most all public transportation rides do. Taxis, buses, pikis, all deal in one-ride increments of fuel. But as soon as we are out of town, flying down the deteriorated road with its potholes and erosions at unsafe speeds, we pull off under a random mango tree where a small white sedan is parked, flat tires and dusty windows suggest it has not recently moved. The driver hands a key to a late-teens strong-looking young man, who opens the trunk and pulls out a green jerry can and a cow horn. This young man runs up the road, and then returns with a full can of fuel, which he then uses the cow horn to pour into the matatu. Confused, we start talking amongst ourselves, and then the other passengers hit upon the explanation: This fuel has been stolen/skimmed/borrowed/illegally gained from the road construction crew, a way that the development money leaks out of a project and into various pockets, eventually leading to the road work not being completed or not being of a quality to last. The driver is stealing from the Ugandan people.

Our team physician refers a patient to a regional hospital for a specialized surgery. The family has never traveled so far, and are obvious marks for con men. Someone meets them, returns in a white coat, leads them to a room IN THE HOSPITAL, locks the door and steals all their money for the child's care.

The medical superintendent of the hospital is awakened at 3 am. A veritable bus of maternity disasters has arrived from a supposedly functional, high-level outlying center. The doctor assigned to that center has either not shown up all weekend or asked for illegal extra fees to care for them, so now they have been collectively referred to the one doctor who is following in Jonah's footsteps and working himself to exhaustion. In spite of a reasonable number of doctors on the payroll, I find no one but the med sup in the entire hospital on Monday, and after those 5 C-sections he's bouncing from ward to ward doing discharges and seeing the patients the nurses have determined are most critical. How long can he last like this? This is a good friend, a man we selected for a scholarship, a man we worked with for years, who has the potential to transform care. But he can't do it alone.

Six months ago, the local energy company took the malfunctioning transformer for the area to fix it. We are still waiting. Various explanations are given. Meanwhile the unpredictable, intermittent power supply ruins appliances, wastes time and money, and generally makes life unnecessarily difficult. For instance, when parents brought their kids to school, there was no power to turn on the computer to confirm who had paid fees . . .

And on and on, friends who tell us they have not received salaries for months of work at government schools, our lawyers telling us one thing then telling the judge another leading to another confusing delay in our defense of our land case, someone trying to re-sell land that was already bought by the mission years ago, armed thieves breaking into a nearby home to steal profits from cocoa, and on and on.

And if we were in America, we would also see the rising inequality as economic growth skyrockets at the top and leaves the average person behind, the shocking loss in years of life expectancy, the profit-motive behind opioid addiction, the struggle to afford health insurance, the fear-mongering that distorts our dialogue, as abundant examples of injustice in that culture. It's universal.

Yes, injustice subtly pervades nearly every aspect of life here, and most places. It feels tempting to wish to be an Amos and shout out, to uncover and expose all the dark underside of oppression.

And then I remember two things. First, that the roiling river is going to smash into these systems with a force that will cause a lot of pain. The coming of justice is, as Amos said, a day that carries darkness and weeping too. Perhaps justice will mean that I'm not entitled to a car, or even a bike. Or to a fridge or several extra sets of clothes or the computer to post complaining blog posts. Second, that the coming of justice is not a way to wash people who inconvenience and frustrate us out of our path. The struggle is not against flesh and blood. YES, the political and religious and educational and medical systems need to be held to account, refined, improved. We SHOULD demand accountability. We SHOULD speak up for the infant who loses a life due to graft and corruption. But the enemy is not the lazy doctor or the lying engineer, the enemy is the broken crack of evil through them and all of us. And for that, there is only one solution, the coming of God in love and power through the sacrificial service of humans who follow that calling.

That coming has begun, and even as our hearts break for much of what we see, we DO KNOW that the arc of the universe bends in the right direction. So let me leave you with more hopeful examples.

This church has been meeting for decades, and the counter-cultural radical message of the Gospel continues to be clear. The pastor preached that men must ask their wives for forgiveness! And vice versa, but the message to the men was more shocking. Girls played the drums this Sunday.

The Lubwisi language project continues to carefully translate books of the Bible, to produce primers and literature and literacy training, to give people a sense of cultural joy as well as a sense that God sees them and cares.

Almost 200 kids have enrolled in Christ School, and we hope to reach 300. Young faces, bright with hope and determination, lugging in their mattresses and buckets and metal trunks. Maybe the next governor of the district passed through these gates today? We have four to six years (O level, possibly combined with the 2-year level) to model grace, love, integrity, service in a way that will change patterns of life for decades.

Just for fun, since it is Black History Month, the little reminder that world progress in post-slavery post-racism restorative justice brings joy here too, even though we wish they would not write on the dorm walls.

(being a nutritionist is a workout when you have to hold the scale!)

Clinically competent, cheerfully caring dietician/nutrition team members weigh babies, document, and distribute food supplements in the hospital and in the community. This early intervention pays forward in brain development for a lifetime.

Ebola still has not reached into Uganda, for which we are extremely thankful. It is sobering to see the tents prepared at the very site where Dr. Jonah became infected more than a decade ago.

Christ School's enrollment has passed the 200 mark today, but we are still praying for 300 + to make the school financially sustainable. Today we held the first chapel of the year!

JUSTICE WILL ROLL. Pray for buoyancy when it does! And pray for real change in our hearts, and in Bundibugyo.

Our Mission

who we are

paradox:
1. something that combines contradictory features or qualities.
Life in Africa is full of contradictions - the beauty and pain; the abundance and the poverty; the joy and the sorrow.
Our lives, too...dying that we might live; strong in our weakness; sinners yet saints.
2. a "pair of docs"